Individual
MELINA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
587 E MAIN ST, HENDERSON, TN 38340-2440
(731) 608-4141
(800) 948-9003
Mailing address
587 E MAIN ST, HENDERSON, TN 38340-2440
(731) 608-4141
(800) 948-9003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW5714
TN
Other
Enumeration date
11/03/2009
Last updated
08/05/2020
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